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Avir At Converse

7700 Mesquite Pass, Converse, TX 78109
2106500551
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Overall CMS Rating

1.0/5

vs State Average: 2.8 stars

2.0/5

Health Inspections

vs State Average: 2.8/5

1.0/5

Staffing Level

vs State Average: 2.1/5

3.0/5

Quality Measures

vs State Average: 3.8/5

4 penalties in last 3 years
Penalties
vs State Average: 1.8 penalties

About This Facility

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Ratings Deep Dive

Score
2.0
State Average
2.8
National Average
2.8
5 Deficiencies found in last inspections
4 Penalties in last 3 years
3 Fines issued
Citation Date Description Severity
Sep 4, 2025 Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. D
Apr 4, 2025 Ensure each resident receives an accurate assessment. D
Apr 4, 2025 Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. D
Apr 4, 2025 Reasonably accommodate the needs and preferences of each resident. D
Apr 4, 2025 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. D
Score
1.0
State Average
2.1
National Average
2.9
0.2 RN Hours / Resident / Day
2.6 Total Nurse Hours / Resident / Day
87.5% RN Turnover Rate
Score
3.0
State Average
3.8
National Average
3.6
5.0 Long-Stay QM Rating
1.0 Short-Stay QM Rating
47.3 Avg Residents Per Day
Measure Score Type
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay
Percentage of long-stay residents who lose too much weight Long Stay
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay
Percentage of long-stay residents with a urinary tract infection Long Stay
Percentage of long-stay residents who have depressive symptoms Long Stay
Percentage of long-stay residents who were physically restrained Long Stay
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay

Ownership & Compliance

Ownership Info
OPERATIONAL/MANAGERIAL CONTROL CONVERSE SENIOR CARE LLC
OPERATIONAL/MANAGERIAL CONTROL MCCULLOCH COUNTY HOSPITAL DISTRICT
OPERATIONAL/MANAGERIAL CONTROL COOK, JACK
OPERATIONAL/MANAGERIAL CONTROL GIVENS, LAURA
OPERATIONAL/MANAGERIAL CONTROL JONES, TIMOTHY
OPERATIONAL/MANAGERIAL CONTROL KESTERSON, LISA
CORPORATE DIRECTOR COOK, CATHERINE
CORPORATE DIRECTOR COOK, JACK
CORPORATE DIRECTOR DERRICK, MICHELE
CORPORATE DIRECTOR JONES, TIMOTHY
Recent Penalties
Date Type Fine
Jul 27, 2024 Fine $23,845
Feb 25, 2024 Fine $15,440
Feb 25, 2024 Fine $25,305
Feb 25, 2024 Payment Denial $0

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